Bitsko Rebecca H, Danielson Melissa, King Michael, Visser Susanna N, Scahill Lawrence, Perou Ruth
1Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Child Neurol. 2013 Dec;28(12):1626-36. doi: 10.1177/0883073812465121. Epub 2012 Nov 8.
To document the impact of Tourette syndrome on the health care needs of children and access to health care among youth with Tourette syndrome, parent-reported data from the 2007-2008 National Survey of Children's Health were analyzed. Children with Tourette syndrome had more co-occurring mental disorders than children with asthma or children without Tourette syndrome or asthma and had health care needs that were equal to or greater than children with asthma (no Tourette syndrome) or children with neither asthma nor Tourette syndrome. Health care needs were greatest among children with Tourette syndrome and co-occurring mental disorders, and these children were least likely to receive effective care coordination. Addressing co-occurring conditions may improve the health and well-being of children with Tourette syndrome. Strategies such as integration of behavioral health and primary care may be needed to improve care coordination.
为记录抽动秽语综合征对儿童医疗保健需求的影响以及抽动秽语综合征青少年获得医疗保健的情况,对2007 - 2008年全国儿童健康调查中家长报告的数据进行了分析。患有抽动秽语综合征的儿童比患有哮喘的儿童或既没有抽动秽语综合征也没有哮喘的儿童有更多共病的精神障碍,并且其医疗保健需求等同于或大于患有哮喘(无抽动秽语综合征)的儿童或既没有哮喘也没有抽动秽语综合征的儿童。在患有抽动秽语综合征和共病精神障碍的儿童中,医疗保健需求最大,而这些儿童最不可能获得有效的护理协调。解决共病情况可能会改善抽动秽语综合征患儿的健康和福祉。可能需要诸如整合行为健康和初级保健等策略来改善护理协调。